| Farzadkohanbash Inc. Dba Uniteddentaloffice | |
|
1720 S Western Ave Los Angeles CA 90006-5804 | |
| (323) 733-0570 | |
| (323) 733-0540 |
| Full Name | Farzadkohanbash Inc. Dba Uniteddentaloffice |
|---|---|
| Speciality | Dentist |
| Location | 1720 S Western Ave, Los Angeles, California |
| Authorized Official Name and Position | Farzad Kohanbash (PRESIDENT) |
| Authorized Official Contact | 3237330570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farzadkohanbash Inc. Dba Uniteddentaloffice 1720 S Western Ave Los Angeles CA 90006-5804 Ph: (323) 733-0570 | Farzadkohanbash Inc. Dba Uniteddentaloffice 1720 S Western Ave Los Angeles CA 90006-5804 Ph: (323) 733-0570 |
| NPI Number | 1942526157 |
|---|---|
| Provider Enumeration Date | 04/13/2010 |
| Last Update Date | 04/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942526157 | NPI | - | NPPES |
| 1992914675 | Other | CA | TYPE1 INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41441 (California) | Primary |
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